Betsy McCaughey. [Source: Newsday / Gawker (.com)]Elizabeth “Betsy” McCaughey (R-NY), a lawyer and future lieutenant governor of New York, writes a scathing analysis of the Clinton administration’s health care reform plan. The article, “No Exit,” is published in the New Republic, and sparks not only a detailed rebuttal from the Clinton administration, but numerous editorials and responses praising the article and joining in the attack. Echoing McCaughey’s arguments, Newsweek writes, “The plan would reduce the quantity and quality of health care and medical technologies by vastly expanding government’s coercive role.” McCaughey and Newsweek question the proposed creation of a seven-member “National Health Board” which will, she claims, “guess the nation’s health care needs and decree how much the nation may spend meeting them.” According to Newsweek: “Everyone would be locked into one system of low-budget health plans picked by the government. Fifteen presidential appointees, the National Quality Management Council, not you and your doctor, would define the ‘medically necessary’ and ‘appropriate’ care a doctor could give you. Escaping government control to choose your doctor or buy other care would be virtually impossible. Doctors could be paid only by the government-approved plans, at rates set by the government. It would be illegal for doctors to accept money directly from patients, and there would be 15-year jail terms for people driven to bribery for care they feel they need but the government does not deem ‘necessary.’ Government would define a minimum level of care and herd people in particular regions into dependence on the lowest-cost organization able to deliver that level. Doctors would be driven into organizations in which they would be punished financially for giving more treatment than the organizations’ budget targets permit. The primary care physician assigned to you would be, McCaughey notes, a gatekeeper with an incentive to limit your access to specialists and high-tech medicine. The premise of the Clintons’ plan is not just that government knows best, but that government knows everything relevant, including how many specialists there should be no more than 45 percent of all doctors [sic]. McCaughey says many medical students will be told that the specialties they prefer are closed, or closed to them because they are not the right race or ethnicity. Yes, the plan subordinates medical values to ‘diversity.’” Prescription drug prices would be controlled through the Department of Health and Human Services, and, McCaughey and Newsweek claim, would “certainly suppress research” that might benefit patients of incurable diseases and disorders. [Newsweek, 2/7/1994]Refuting McCaughey - The Clinton administration details the “numerous factual inaccuracies and misleading statements” contained in McCaughey’s article. The administration’s response says that doctors and patients, not “government bureaucrats” or a board of governors, will decide what treatments are “necessary and appropriate.” The government will not decide what treatments are, and are not, provided: “If anything, the ‘necessary and appropriate’ care provision in the bill delegates authority to the medical profession—rather than imposing further government bureaucracy between the patient and the doctor.” The plan will not block Americans from opting into private health care plans just as they do now, nor will it block doctors and hospitals from accepting payments from “non-approved” health care plans. Nor does the plan require doctors and hospitals “to report your visit to a national data bank containing the medical histories of all Americans,” as McCaughey writes. And the so-called “National Health Board” will not “decide how much the nation can spend on health care beginning in 1996,” as McCaughey claims. The plan will not seek to reduce quality of care in the interest of saving money, and it does not contain price controls. [White House, 1/31/1994] A year later, author and columnist James Fallows will call the article “a triumph of misinformation,” and refutes McCaughey’s (and others’) claims point by point. [Atlantic Monthly, 1/1995]Instrumental in Derailing Reform - The article will later be cited by House Speaker Newt Gingrich (R-GA) as “the first decisive breaking point” in the plan’s initial support; the plan will never be implemented. The article itself will spark tremendous controversy, winning the National Magazine Award while being attacked for being fundamentally inaccurate. (In 2006, the new editor of the New Republic, Franklin Foer, will apologize for his magazine having run the article.) In 2009 McCaughey will be a fellow at the conservative Manhattan Institute and will soon join the equally conservative Hudson Institute. Both are heavily funded by health care corporations. [Daily Beast, 5/15/2009]

The conservative Washington Times, a staunch opponent of President-elect Barack Obama, publishes an editorial predicting that the incoming Obama administration will, in some form or fashion, move to “exterminate” babies with disabilities and other “useless” Americans through its promised reform of the US health care system, similar to actions taken by the Nazis before World War II. The Times provides a brief synopsis of Adolf Hitler’s “T4 Aktion” program designed, in the words of the Times, “to exterminate ‘useless eaters,’ babies born with disabilities. When any baby was born in Germany, the attending nurse had to note any indication of disability and immediately notify T4 officials—a team of physicians, politicians, and military leaders. In October 1939 Hitler issued a directive allowing physicians to grant a ‘mercy death’ to ‘patients considered incurable according to the best available human judgment of their state of health.’ Thereafter, the program expanded to include older children and adults with disabilities, and anyone anywhere in the Third Reich was subject to execution who was blind, deaf, senile, retarded, or had any significant neurological condition, encephalitis, epilepsy, muscular spasticity, or paralysis. Six killing centers were eventually established, and an estimated quarter-million people with disabilities were executed.” The Times draws a parallel between the Nazis and the Obama administration’s support for legal abortion and for physician-assisted suicide, which it equates with “euthanasia.” The incoming administration will, the Times fears, begin “selecting” babies with disabilities for what apparently will be “selective abortions.” It quotes the Reverend Briane K. Turley as saying: “Were God’s design for us left unhindered, we could naturally expect to welcome 40,000 or more newborn infants with Down syndrome each year in the US. And yet we have reduced that number to just under 5,500. These data strongly indicate that, in North America, we have already discovered a new, ‘final solution’ for these unusual children and need only to adapt our public policies to, as it were, ‘cure’ all Down syndrome cases.” Turley, the Times notes, claims that “there is growing evidence suggesting that, among health care practitioners and systems, the central motivation behind legally enforced or high pressure screenings is economics.” The Times then adds: “[A]nd the results seem to bear him out. America’s T4 program—trivialization of abortion, acceptance of euthanasia, and the normalization of physician assisted suicide—is highly unlikely to be stopped at the judicial, administrative, or legislative levels anytime soon, given the Supreme Court’s current and probable future makeup during the Obama administration, the administrative predilections that are likely from that incoming administration, and the makeup of the new Congress.” The Times predicts a new “final solution” of “extermination” that will start with disabled infants and will progress “from prenatal to postnatal to child to adult.” [Washington Times, 11/23/2008] The editorial anticipates the “deather” claims that many conservatives will make in the summer of 2009 (see January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, August 11, 2009, August 12, 2009, August 12, 2009, and August 13, 2009).

Media critic and columnist George Neumayr writes that the Democrats’ economic stimulus plan will include enforced abortions and euthanasia for less productive citizens. Neumayr calls this claim a once “astonishingly chilly and incomprehensible stretch [that] is now blandly stated liberal policy,” basing it on the Democrats’ plan to provide money to the states for “family planning.” Neumayr equates the funding, which would go for such initiatives as teaching teenagers about the use of condoms and measures to avoid sexually transmitted diseases, to the famous Jonathan Swift essay of 1729, “A Modest Proposal,” which satirically suggested that impoverished Irish families might sell their children to rich Englishmen for food. “Change a few of the words and it could be a Democratic Party policy paper,” Neumayr writes. “Swift suggested that 18th-century Ireland stimulate its economy by turning children into food for the wealthy. [House Speaker Nancy] Pelosi [D-CA] proposes stimulating the US economy by eliminating them. Other slumping countries, such as Russia and France, pay parents to have children; it looks like Obama’s America will pay parents to contracept or kill them. Perhaps the Freedom of Choice Act can also fall under the Pelosi ‘stimulus’ rationale. Why not? An America of shovels and scalpels will barrel into the future. Euthanasia is another shovel-ready job for Pelosi to assign to the states. Reducing health care costs under Obama’s plan, after all, counts as economic stimulus too. Controlling life, controlling death, controlling costs. It’s all stimulus in the Brave New World utopia to come.” Like a Washington Times editorial from months earlier (see November 23, 2008), Neumayr uses the term “final solution” for the Democrats’ economic proposal, the term for the Nazis’ World War II-era extermination of millions of Jews and other “undesirables.” He writes: “‘Unwanted’ children are immediately seen as an unspeakable burden. Pregnancy is a punishment, and fertility is little more than a disease. Pelosi’s gaffe illustrates the extent to which eugenics and economics merge in the liberal utilitarian mind.” “Malthus lives,” he says, referring to the 19th century scholar Thomas Robert Malthus, whose theories of ruthless natural selection predated Charles Darwin’s theories of evolution. Neumayr goes on to accuse “Hillary Clinton’s State Department” of preparing to set up programs of “people-elimination,” predicated on what he calls “UN-style population control ideology” and “third-world abortions.” [American Spectator, 1/27/2009]

Betsy McCaughey (R-NY), the former lieutenant governor of New York and a fellow at the conservative Hudson Institute, writes that health care provisions in the Obama administration’s economic stimulus plan will affect “every individual in the United States.” McCaughey writes: “Your medical treatments will be tracked electronically by a federal system. Having electronic medical records at your fingertips, easily transferred to a hospital, is beneficial. It will help avoid duplicate tests and errors. But the bill goes further. One new bureaucracy, the National Coordinator of Health Information Technology, will monitor treatments to make sure your doctor is doing what the federal government deems appropriate and cost effective. The goal is to reduce costs and ‘guide’ your doctor’s decisions.” McCaughey says the provisions are similar to suggestions in the book Critical: What We Can Do About the Health Care Crisis, by former Senate Majority Leader Tom Daschle (D-SD), until recently Obama’s pick to head the Department of Health and Human Services. McCaughey writes that hospitals and doctors who do not use the system will be punished, by a federal oversight board to be called the Federal Coordinating Council for Comparative Effectiveness Research. Perhaps most worrisome is McCaughey’s claim that elderly Americans will be given reduced health care based on their age and expected productivity. “Medicare now pays for treatments deemed safe and effective. The stimulus bill would change that and apply a cost-effectiveness standard set by the Federal Council,” she writes. “The Federal Council is modeled after a UK board discussed in Daschle’s book. This board approves or rejects treatments using a formula that divides the cost of the treatment by the number of years the patient is likely to benefit. Treatments for younger patients are more often approved than treatments for diseases that affect the elderly, such as osteoporosis. In 2006, a UK health board decreed that elderly patients with macular degeneration had to wait until they went blind in one eye before they could get a costly new drug to save the other eye. It took almost three years of public protests before the board reversed its decision.… If the Obama administration’s economic stimulus bill passes the Senate in its current form, seniors in the US will face similar rationing. Defenders of the system say that individuals benefit in younger years and sacrifice later. The stimulus bill will affect every part of health care, from medical and nursing education, to how patients are treated and how much hospitals get paid. The bill allocates more funding for this bureaucracy than for the Army, Navy, Marines, and Air Force combined.” [Bloomberg News, 2/9/2009] McCaughey’s claims are very similar to the ones she made against the Clinton administration’s attempt to reform health care in 1994 (see Mid-January - February 4, 1994). They will be proven false (see July 23, 2009).

The Washington Times spins off a recent op-ed by health industry lobbyist Betsy McCaughey (see February 9, 2009) to claim that the Obama administration will attempt to save money by euthanizing old people, disabled people, and sickly infants. The editorial begins with the “chilling” idea of a national medical information database that will allow the government to “track… your every visit to a health care provider—where you went, who you saw, what was diagnosed, and what care was provided.” The Obama administration, the Times claims, will use that information to decide which people deserve the more expensive lifesaving treatments and which ones must be denied in the interest of cost efficiency. “If it costs too much to treat you, and you are nearing the end of your life anyway, you may have to do with less, or with nothing,” the Times writes. “You just aren’t worth the cost.… What nondescript GS-11 will be cutting care from Aunt Sophie after her sudden relapse before he or she heads to the food court for some stir fry?” The elderly, the physically and mentally disabled, all “whose health costs are great and whose ability to work productively in the future” will, the Times writes, be allowed to die or even exterminated. So will premature babies, badly wounded soldiers, and others as yet to be determined. The Times again cites Nazi Germany’s “T4 Aktion” program of forcibly euthanizing less productive citizens (see November 23, 2008) as a likely template for the Obama program. [Washington Times, 2/11/2009]

Conservative syndicated columnist Cal Thomas uses a recent editorial by health care industry lobbyist Betsy McCaughey (see February 9, 2009) to accuse the Obama administration of planning a “euthanasia” program to exterminate hapless Americans. President Obama’s economic stimulus plan, Thomas writes, “means the government will decide who gets life-saving treatment and who doesn’t. It is survival of the fittest in practice.” Thomas then writes that the Obama administration’s support of legal abortions will inevitably lead to “euthanasia” of older and less productive citizens. He quotes a 1979 book by theologian Francis Schaeffer and future Surgeon General C. Everett Koop, Whatever Happened to the Human Race? as saying, “Will a society which has assumed the right to kill infants in the womb—because they are unwanted, imperfect, or merely inconvenient—have difficulty in assuming the right to kill other human beings, especially older adults who are judged unwanted, deemed imperfect physically or mentally, or considered a possible social nuisance?” Thomas then writes, “No one should be surprised at the coming embrace of euthanasia.” Schaeffer and Koop’s prediction that “the next candidates for arbitrary reclassification as nonpersons are the elderly” now “seems to be coming true,” Thomas writes. He also repeats a claim from the 92-year-old Koop that in 1988, he had suffered from an ailment that temporarily paralyzed him. Under Britain’s government-run health care, Koop claims, “I would have been nine years too old to have the surgery that saved my life and gave me another 21 years.” Soon, Thomas writes, “dying will become a patriotic duty when the patient’s balance sheet shows a deficit.” [Tribune Media Services, 2/18/2009]

On his radio show, conservative host Glenn Beck warns that the Democrats’ “socialistic” health care reform proposal will lead to “eugenics” as envisioned by leaders of the Nazi Third Reich. Beck tells his listeners that the reform package will not only result in senior citizens being forced to die before their time in order to save on medical costs (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, and February 18, 2009), but also says: “This is Nazi Germany stuff. This is the kind of stuff that is progressive in its nature. It is eugenics. It is survival of the fittest. It is the reason why the abortion argument makes so much difference. You can’t devalue life at either end because these people are waiting to swoop in and say it’s just not worth doing these things. Don’t waste the money on old people. They’re not going to live long anyway. Spend it on someone who meets the requirements of our cost-benefit analysis. So old people, thanks for all the contributions you made to society during your better years but now we’re sorry to say it’s time to send you to a better place, heaven.” [Glenn Beck, 5/13/2009]

President Obama, in a televised “town hall” event held in the White House to discuss health care reform, suggests that one way to trim medical costs might be to cease performing expensive and futile treatments—“extraordinary measures”—on terminally ill patients who do not want such interventions and would not benefit from them. Currently, doctors who have no particular instructions will perform “extraordinary measures” to stave off a terminally ill patient’s death, even for a matter of hours, no matter how intrusive or expensive the procedure. Obama tells his listeners that families need better information so they don’t unthinkingly approve “additional tests or additional drugs that the evidence shows is not necessarily going to improve care.” In some instances, he says, “Maybe you’re better off not having the surgery, but taking the painkiller.” He notes the experience of his recently deceased grandmother, Madelyn Dunham, was diagnosed with terminal cancer and given less than nine months to live. When she broke her hip, she and her family had to decide whether to put her through a long, expensive, and painful hip-replacement procedure. “[A]nd the question was, does she get hip replacement surgery, even though she was fragile enough they were not sure how long she would last?” he says. [Los Angeles Times, 6/25/2009] Obama is not advocating that life-extending treatments be forcibly denied to terminally ill or elderly patients (see July 23, 2009 and July 23, 2009), but his remarks will be misconstrued as advocating just such a position (see June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23-24, 2009, and July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 7, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, and August 12, 2009).

Capital Research Center senior editor Matthew Vadum writes an op-ed for the conservative American Spectator magazine claiming that President Obama is sending a message to America’s elderly in his health care reform proposals: “Screw you.” Referring to a statement made by Obama at a “town hall” forum on health care reform, where the president noted that money could be saved by trimming unwanted and unneeded “extraordinary measures” carried out on terminally ill patients (see June 24, 2009), Vadum writes: “So, old people: screw you. In the future Uncle Sam will put you on an ice floe and let you float away to your heavenly reward. It gives new meaning to the Latin phrase ‘Dulce et decorum est pro patria mori.’ (In English, How sweet and glorious it is to die for one’s country.) Medical decisions should be made by patients, their families, and their doctors, not by government bureaucrats, but that’s ObamaCare for you.” [American Spectator, 6/25/2009]

House Representative Paul Broun (R-GA—see November 11, 2008) says that the Obama health care reform proposals will kill Americans. On the floor of the House, Broun attacks the idea of a “public option,” described by Congressional Democrats as a government-funded alternative to private health care. Broun says, “[T]his program of ‘government option’ is being touted as being the panacea, the savior of allowing people to have quality health care at an affordable price is gonna kill people.” Broun says that Canada and the United Kingdom, both countries that rely on public health care, “don’t have the appreciation of life as we do in our society.” Progressive news and advocacy site Think Progress notes that both Canada and the UK have both a lower infant mortality rate and longer life expectancy than the US. [Think Progress, 7/10/2009] Liberal media watchdog site Media Matters notes that neither the Canadian nor British health care systems serve as models for President Obama’s health care reform proposals. [Media Matters, 7/10/2009] Broun’s claims are based in part on health insurance advocate Betsy McCaughey’s warnings that the health care reform proposal will encourage senior citizens to die sooner (see February 9, 2009 and July 23-24, 2009), warnings that are debunked by the St. Petersburg Times (see July 23, 2009).

Betsy McCaughey, the chairman of the Committee to Reduce Infection Deaths, a former Republican lieutenant governor of New York, and a conservative opponent of health care reform, says that under the Obama administration’s reform proposal, elderly Americans would be encouraged to die earlier to save money (see February 9, 2009 and July 23-24, 2009). On conservative radio host Fred Thompson’s show, she says, “Congress would make it mandatory—absolutely require—that every five years people in Medicare have a required counseling session that will tell them how to end their life sooner.” These sessions will help elderly patients learn how to “decline nutrition, how to decline being hydrated, how to go in to hospice care… all to do what’s in society’s best interest or in your family’s best interest and cut your life short.” [St. Petersburg Times, 7/23/2009] “These are such sacred issues of life and death. Government should have nothing to do with it.” Thompson calls McCaughey’s claim the “dirty little secret” of the health care reform proposal. [St. Petersburg Times, 7/23/2009; Politico, 7/28/2009] In August, progressive MSNBC host Rachel Maddow will tell her listeners: “That is not true at all, not a word of it. Not mandatory, not require, not every five years, not counseling, not tell them, not how to, not end their life. None of the words in that claim are true except maybe the two ‘that’s’ and the word ‘in.’ It’s not true, but it is convenient, and so it survives. And it is in fact being promoted more than ever. It’s convenient for the interests [that oppose] health care reform to scare old people about reform.” [MSNBC, 8/12/2009] The next day, McCaughey publishes an op-ed in the New York Post advancing the same arguments. “One troubling provision” of the bill, she writes, “compels seniors to submit to a counseling session every five years… about alternatives for end-of-life care.… [The] mandate invites abuse, and seniors could easily be pushed to refuse care.” [New York Post, 7/17/2009]Availability of Discussions Mandated Since 1990 - The provision in question states that as part of an advanced care consultation, an individual and practitioner will have a consultation that includes “an explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.” Such explanations and consultations have been part of government-provided senior care since 1990; in 2003, the Bush administration issued guidelines for physicians’ discussion of end-of-life care with seniors. Claims Contradicted - John Rother of the American Association of Retired Persons (AARP) counters with a statement: “This measure would not only help people make the best decisions for themselves but also better ensure that their wishes are followed. To suggest otherwise is a gross, and even cruel, distortion—especially for any family that has been forced to make the difficult decisions on care for loved ones approaching the end of their lives.” Jon Keyserling of the National Hospice and Palliative Care Organization adds: “I was surprised that any responsible legislative analyst would indicate this is a mandatory provision. That is just a misreading of the language and, certainly, of the intent.” McCaughey later responds to those statements by repeating her assertions, saying that doctors would “pressure” seniors to accept less costly services that would lead to quicker deaths. [St. Petersburg Times, 7/23/2009; Politico, 7/28/2009]Debunked - McCaughey’s claims will soon be disproven (see July 23, 2009).

Laura Ingraham. [Source: Pat Dollard]Fox News and radio talk show host Sean Hannity tells his radio audience of the op-ed published in the morning’s New York Post by health industry lobbyist Betsy McCaughey, claiming that the Democrats’ health care reform proposal would result in senior citizens being advised to end their lives prematurely (see July 16, 2009). Hannity says: “[I]t sounds to me like they’re actually encouraging seniors in the end, ‘Well, you may just want to consider packing it all in here, this is—’ what other way is there to describe this?… So that they don’t become a financial burden on the Obamacare system? I mean that’s how they intend to cut cost, by cutting down on the health care we can give and get at the end of our lives and dramatically cutting it down for senior citizens? You know, welcome to the brave new world of Obamacare. We’re going to encourage, you know, inconvenient people to consider ‘alternatives to living.’” The same day, conservative radio host Laura Ingraham tells her listeners: “Can you imagine—if I were doing Saturday Night Live, like, if I were producing it this weekend, and I was going to be fair about political humor, I would have a hospice chute—like a door, a trap door that goes into a chute where the elderly would just walk up—‘Oh, my hip hurts.’ And all of a sudden you see this leg kicking granny down the chute, and that’s Obamacare.” She continues by making a veiled reference to Nazi concentration camps: “[S]ome will call them death camps, but this is the way Obamacare is gonna go for America.” And on the same day, conservative radio hosts Jim Quinn and Rose Tennent echo Hannity and Ingraham’s claims. Quinn says, “[T]here’s a drop dead date, you should pardon the expression but a lot of us are going to—” Tennent interjects, “Are going to drop dead, yeah.” Quinn then adds, “For heaven’s sakes, this is the death-to-old-people plan.” [Media Matters, 7/17/2009]

PolitiFact logo. [Source: Yahoo! Buzz]The St. Petersburg Times’s “PolitiFact” debunks the recent spate of claims by Betsy McCaughey (R-NY) that the Obama health care reform proposal would mandate ‘death counseling’ (see July 16, 2009) and encourage seniors to die sooner to save money (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 23, 2009, and July 23-24, 2009). Days later, the Annenberg Political FactCheck organization will come to the same conclusions. 'Advance Care Planning Consultation' - According to HR 3200, the latest version of the health care reform legislation, the relevant section is entitled “Advance Care Planning Consultation.” This details how Medicare would pay for voluntary end-of-life counseling sessions. According to the legislation: “such consultation shall include the following: An explanation by the practitioner of advance care planning, including key questions and considerations, important steps, and suggested people to talk to; an explanation by the practitioner of advance directives, including living wills and durable powers of attorney, and their uses; an explanation by the practitioner of the role and responsibilities of a health care proxy.” Medicare will pay for one such session every five years, and will pay for interim sessions if a Medicare recipient’s health worsens in between those five-year sessions. Jon Keyserling, general counsel and vice president of public policy for the National Hospice and Palliative Care Organization, which supports the provision, says the bill does not encourage seniors to end their lives, it just allows some important counseling for decisions that take time and consideration. “These are very serious conversations,” he says. “It needs to be an informative conversation from the medical side and it needs to be thought about carefully by the patient and their families.” According to Jim Dau of the American Association of Retired Persons (AARP), the legislation does not encourage patients to end their lives. Dau says McCaughey’s claims are “not just wrong, they are cruel.” He adds: “We want to make sure people are making the right decision. If some one wants to take every life-saving measure, that’s their call. Others will decide it’s not worth going through this trauma just for themselves and their families, and that’s their decision, too.” Keyserling says it is clear to him and his organization’s lawyers that such end-of-life counseling sessions are purely voluntary, like everything in Medicare. “The only thing mandatory is that Medicare will have to pay for the counseling,” says Dau. A press release from the AARP says that McCaughey’s characterization of the health care bill is “rife with gross—and even cruel—distortions.” [St. Petersburg Times, 7/23/2009; Annenberg Political Fact Check, 7/29/2009]'Scare Tactics' - The St. Petersburg Times concludes: “For our ruling on this one, there’s really no gray area here. McCaughey incorrectly states that the bill would require Medicare patients to have these counseling sessions and she is suggesting that the government is somehow trying to interfere with a very personal decision. And her claim that the sessions would ‘tell [seniors] how to end their life sooner’ is an outright distortion. Rather, the sessions are an option for elderly patients who want to learn more about living wills, health care proxies and other forms of end-of-life planning. McCaughey isn’t just wrong, she’s spreading a ridiculous falsehood.” [St. Petersburg Times, 7/23/2009] The non-partisan FactCheck.org, an organization sponsored by the Annenberg Public Policy Center, will write: “In truth, that section of the bill would require Medicare to pay for voluntary counseling sessions helping seniors to plan for end-of-life medical care, including designating a health care proxy, choosing a hospice, and making decisions about life-sustaining treatment. It would not require doctors to counsel that their patients refuse medical intervention.” The organization will note that inflammatory “chain e-mails” are making the rounds making claims such as: “On Page 425 of Obama’s health care bill, the federal government will require EVERYONE who is on Social Security to undergo a counseling session every five years with the objective being that they will explain to them just how to end their own life earlier. Yes.… They are going to push SUICIDE to cut medicare spending!!!” FactCheck will respond: “In fact, [the part of the bill cited on p. 425] requires Medicare to cover counseling sessions for seniors who want to consider their end-of-life choices—including whether they want to refuse or, conversely, require certain types of care. The claim that the bill would ‘push suicide’ is a falsehood.” FactCheck will find that McCaughey “misrepresent[ed]” the bill in her claims, and she and other health care reform opponents are resorting to “scare tactics” to try to defeat the legislation. [Annenberg Political Fact Check, 7/29/2009]

Rep. Louis Gohmert. [Source: Associated Press / Washington Blade]Representative Louis Gohmert (R-TX) lays out a skein of theories on radical radio host Alex Jones’s broadcast. During his interview with Jones, Gohmert accuses the Obama administration and Congressional Democrats of trying to implement socialism and kill senior citizens; Jones and Gohmert compare Obama to a number of foreign despots. Gohmert tells Jones and his listeners: “We’ve been battling this socialist health care, the nationalization of health care, that is going to absolutely kill senior citizens. They’ll put them on lists and force them to die early because they won’t get the treatment as early as they need.… I would rather stop this socialization of health care because once the government pays for your health care, they have every right to tell you what you eat, what you drink, how you exercise, where you live.… But if we’re going to pay 700 million dollars like we voted last Friday to put condoms on wild horses, and I know it just says an un-permanent enhanced contraception whatever the heck that is. I guess it follows that they’re eventually get around to doing it to us.” Gohmert is echoing claims by Republican lawmakers and industry lobbyists that the Democrats’ health care reform proposal will kill senior citizens (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, and July 23-24, 2009). Jones ups the ante by accusing the White House “science czar” of planning to “put… stuff in the water to sterilize us,” and then goes on to accuse the White House of, among other things, implementing a “eugenics control grid over us” and implementing “youth brigades, national service compulsory in a group outside the military under the Democratic Party control in the city year in the red and black uniforms.” Gohmert agrees with Jones, and says these kinds of policies were “done in the 1930s,” a plain reference to Nazi Germany, “and it’s not the only place its been done. It has been done throughout history.” Jones says, “Mao did it,” referring to Communist China’s Mao Zedong. Gohmert agrees: “Well, that’s exactly what I was thinking of. This is the kind of the thing we got to stop. We got to get back to the roots, the basics.” Gohmert praises Jones for his rhetoric and accusations: “That shows how on top of things you are, Alex.” For his part, Jones effusively thanks Gohmert and reminds him that “you’re there fighting and we’re supporting you.” [Think Progress, 7/27/2009] Progressive MSNBC host Rachel Maddow says of Gohmert and Jones: “You know, the Democrats may be fighting it out about whether they’re going to be beholden to the insurance companies and whether there’s going to be a public option in health care reform. But when it comes to the Republicans, this is the kind of thing they are bringing to the table: Hitler, Mao, and secret plots to kill old people.” [MSNBC, 7/29/2009]

Slate reporter and columnist Christopher Beam coins a new term, “deathers,” to label conservatives who are spreading the debunked rumors that President Barack Obama’s health care proposals would kill old people (see July 16, 2009 and July 23, 2009). Beam publishes his article on the same day that Representative Virginia Foxx (R-NC) claims that under Obama’s reforms, seniors would be “put to death” (see July 28, 2009), and that Obama holds a “town hall” meeting where he debunks this and other rumors surrounding his proposals (see July 28, 2009). The claim apparently originated with lobbyist and lawyer Betsy McCaughey (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 16, 2009, and July 23-24, 2009), who used similarly questionable claims to derail the 1994 reform proposals by the Clinton administration (see Mid-January - February 4, 1994). Others have made similar assertions; Representative Paul Broun (R-GA) recently warned that Obama’s reform proposals would “kill people” (see July 10, 2009), and conservative commentator and author Charlotte Allen says: “Obama’s not going to say, ‘Let’s kill them.’ But he seems to be perfectly comfortable with the idea that a lot more old people are going to die a lot sooner.” End-of-Life Consultations - Beam shows that the language of the bill, as it stands in Congress at this time, provides for “end-of-life consultations” between patients and doctors, if the patients wish them. In those consultations, doctors would explain what kind of services are available to those patients—palliative care and hospices, in-home care, more intensive treatments in a hospital, etc.—but would not tell patients that they had to restrict themselves to less intensive treatments that would shorten their lives. Some “deathers” have also insisted that the bill provides for the withholding of “artificially administered nutrition and hydration.” McCaughey is a vocal proponent of this claim. However, such a choice would have to be made by the patient and/or the family, specifically not a doctor. Shared Decision-Making - Opponents of health care reform such as McCaughey claim that the House bill would “coerce” seniors into taking part in a program that forces them into making decisions about “trade-offs among treatment options,” or takes the final decision-making power away from them and places it in the hands of doctors or government officials. In reality, the bill would provide an informational tool for patients and families to make informed decisions. No coercion could legally be applied. Obama Staffers Cause Concern - Some of Obama’s staffers have said and written things that cause consternation among reform opponents (see July 23-24, 2009). One of Obama’s senior health care advisers, Ezekiel Emanuel, who serves as health policy adviser at the White House’s Office of Management and Budget (OMB), wrote in 2008 that doctors too often interpret the Hippocratic oath “as an imperative to do everything for the patient regardless of the cost or effects on others,” leading some to wonder if Emanuel would put cost concerns over patients’ needs; others have gone farther, comparing Emanuel to Nazi doctors and of advocating “eugenics.” In 1977, Obama’s “science czar,” John Holdren, joined two other authors in writing about possible methods of population control, including a speculative bit about sterilizing people by introducing chemicals into the water supply. (ABC News later reports that the controversial passage was from a textbook in which various methods of population control were considered and rejected. Holdren recently released a statement saying that population control is not the government’s job; his statements on the matter passed muster in the Senate Commerce Committee, whose Republican members joined Democrats in unanimously approving his nomination as the director of the White House’s Office of Science and Technology Policy.) And some worry that the proposed Independent Medicare Advisory Council, which would oversee cost containment for Medicare, would be staffed, in Allen’s words, with “a certain class of secularized intellectuals” who might put cost concerns over quality of life. [Slate, 7/28/2009; ABC News, 7/28/2009]

Anti-health care reform proponents claim that the Democrats’ reform package will allow the government direct access to US citizens’ bank accounts. In some variants of the claim, the government will steal money from those accounts to fund the reform package. The claim is quickly disproven. From an E-mailed 'Clearinghouse of Bad Information' - Apparently the claim originates in a “chain e-mail” sent out by an anonymous anti-reformer. The e-mail, which references its claims by page numbers from HR 3200, the pending House version of the reform legislation, is characterized by the St. Petersburg Times’s “PolitiFact” team as a hugely long e-mail that they call “a clearinghouse of bad information circulating around the Web about proposed health care changes.” The e-mail is apparently based in part on the work of Peter Fleckenstein, who sends frequent and regular commentaries on Twitter under the name “Fleckman,” and posts his analyses on his blog. Fleckenstein identifies his Twitter comments with the tag #tcot, which stands for “top conservatives on Twitter.” A health care analyst with the nonpartisan Kaiser Family Foundation, Jennifer Tolbert, calls the e-mail “awful.… It’s flat-out, blatant lies. It’s unbelievable to me how they can claim to reference the legislation and then make claims that are blatantly false.” Tolbert is particularly offended by the e-mail’s claim that ordinary citizens will suffer a lack of health care in order to provide free care for illegal immigrants. Many of the e-mail’s other claims are equally wrong. Based on Provision for Electronic Health Records - The claim that “[t]he federal government will have direct, real-time access to all individual bank accounts for electronic funds transfer” is based on a portion of the legislation that provides for electronic health records, including the enabling of “electronic funds transfers in order to allow automated reconciliation” between payment and billing. However, the government will not have access to citizens’ bank accounts and will not be able to make unauthorized withdrawals. [St. Petersburg Times, 7/30/2009; TPM Muckraker, 8/11/2009]Quick Promulgation - However, the lie quickly makes the rounds of conservative anti-reformers. Talk show host Rush Limbaugh cites the false claim numerous times on his radio broadcast; on August 6, he calls the program “[d]irect deposit access to every individual’s bank account,” and says: “That is in the House bill. You think that’s the worst thing in it. I’m not arguing with you, but there are things that are a greater abomination than that. I mean, this bill determines, the government’s going to determine who lives and dies. They are going to fund abortions and they are going to be for euthanasia on the back end” (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, and August 10, 2009). On a local conservative radio show in early August, Representatative John Shadegg (R-AZ) calls the supposed provision “pretty Orwellian.” On August 11, a participant in a “town hall” forum hosted by Senator Arlen Specter (D-PA) asks about the claim. [KFYI, 8/2009; Rush Limbaugh, 8/6/2009; TPM Muckraker, 8/11/2009]Similar to Automatic Bill Payment - Progressive media watchdog Web site Media Matters notes: “[I]f you’re paying back a student loan from the government (like we are) and you’ve set up automatic bill pay online, this is the same thing. Completely uncontroversial, and totally not scary—unless if you’re trying to fearmonger.” [Media Matters, 8/6/2009]

Progressive author and columnist Joe Conason writes that if the Democrats’ attempt to reform health care fails, “much of the blame rests on our political culture’s empowerment of deception and ignorance. Fake erudition is revered, every hoax is deemed brilliant, and prejudice is presented as knowledge—while actual expertise is disregarded or devalued.” Conason points to two conservative commentators as primary founts of destructive misinformation: neoconservative publisher and cable news pundit William Kristol, and health industry lobbyist Betsy McCaughey (see January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, July 16, 2009, and July 23-24, 2009), whom Conason names as “the right-wing celebrities who worked so hard to kill the Clinton reform plan” in 1994 (see Mid-January - February 4, 1994). Conason labels McCaughey as “the source of the ‘elderly euthanasia’ hoax now circulating on the Internet, talk radio, and in right-wing media, which claims that Democratic health bills will force old, ill Medicare recipients into making plans for their own deaths” (see July 28, 2009). A thorough debunking of her claims by a variety of Congressional and media sources (see July 23, 2009, July 23, 2009, and Late July, 2009) has done little to derail the impact on the media, and on the citizenry, that McCaughey’s claims are having. McCaughey’s falsehoods are being heavily, and effectively, promoted by Kristol and other conservative pundits (see July 17, 2009) on Fox News and other media outlets. Conason notes that Kristol, interviewed by Jon Stewart of The Daily Show, admitted that the government provides “first-class” healthcare to American soldiers and senior citizens (in the form of the Veterans Administration and Medicare) before trying, and failing, to back away from the admission. [Salon, 7/31/2009]

Screenshot of the bottom of Recess Rally’s home page, taken August 22, 2009. [Source: Recess Rally (.com)]MSNBC host Rachel Maddow examines an organization called “Recess Rally,” which is promoting anti-health care protests over the Internet, providing information about upcoming “town hall” forums hosted by Democratic lawmakers, and proclaiming, “We the people say no to socialized health care.” Maddow gives some information on who is organizing Recess Rally. At the bottom of Recess Rally’s home page, a number of sponsors are listed, including conservative blogger and Fox News commentator Michelle Malkin, and conservative blogs such as RedState and Smart Girl Politics. Funded by Corporate Lobbying Firms, Corporate Interests - Other sponsoring organizations are less easily identifiable as citizen organizations. American Majority is a lobbying organization headed by Ned Ryun, a former speechwriter for President George W. Bush; many of the organization’s senior officials are veterans of the Bush-Cheney 2004 presidential campaign, former Republican lawmakers, and conservative lobbyists. American Majority is itself an offshoot of another organization, the Sam Adams Alliance. That organization is headed by a former executive director of the Illinois State Republican Party, and by a former Dow Chemicals engineer who also heads a large conservative think tank. Another sponsor of Recess Rally is a group called Let Freedom Ring, whose founder provided the funding for the 2008 Republican campaign ads that used footage of the 9/11 attacks to promote the Iraq war. Another sponsor was responsible for the 2004 “Swift Boat” campaign advertisements that besmirched then-presidential candidate Senator John Kerry (D-MA). Two other groups sponsor Recess Rally: Americans for Prosperity (AFP—see May 29, 2009, July 27, 2009, and August 1, 2009) and its subsidiary, Patients First (see July 23, 2009, July 27, 2009, and August 6, 2009). AFP runs Patients First, which is busing people around the country to demonstrate against health care reform, and another “grassroots” organization, Patients United Now (PUN). Maddow says that groups like these are “experts at fake grassroots campaigns that promote corporate interests.” (AFP president Tim Phillips will call the buses “really good props”—see August 6, 2009.) Sincere Americans Protesting at Direction of Corporate Interests, PR Firms - Noting that AFP is headed by, among others, oil billionaire David Koch and longtime Republican fund-raiser Art Pope, Maddow says: “This oil industry and Republican operative millionaires’ club is, according to the Republican Party… just average, middle-class Americans—just regular American folks sitting around the kitchen table, thinking about whether they can get away with saying that the government continuing its long standing policy of encouraging living wills is really a secret plot to kill old people (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, and July 31, 2009 - August 12, 2009). Americans are showing up at these events to shout down the discussion and to chase their congressmen and they are enraged. And they’re enraged at least in part because they’re being riled up by over-the-top, fabricated conspiracy theories about health care. And they’re being directed and orchestrated by the corporate interests that do this for a living and do it very well. RecessRally.com is not some organic outgrowth of American anger. This is how corporate America creates the illusion of a grassroots movement to support their own interests. This is what they do. They are professionals. This is an industry. To talk about these town hall events as some organic outpouring of average American folks who have concerns about health care is to be willfully blind as to what is really going on—which is professional PR operatives generating exploitive, manufactured, strategically deployed outrage in order to line their own pockets. These PR spinmeisters get paid a lot of money for doing it. The corporations they work for get to kill legislation that would hurt their profits. And the real people who they launch into these town hall settings after they’re told that health care reform is a secret commie plot to kill old people and to mandate sex changes—those real people get more and more and more angry, and more and more and more alienated. And ultimately, they get left, like the rest of us, with a health care system that is broken and doesn’t work in the interests of the American people, but does work in the interests of the corporations that profit from the way the system is now. This is professional, corporate-funded, Republican staffed PR, and it should be reported as such.” [Recess Rally, 8/2009; MSNBC, 8/6/2009]

Sarah Palin holds her youngest child, Trig, for the cameras. [Source: Hollywood Gossip]Former Governor Sarah Palin (R-AK), the Republican vice presidential candidate in 2008, writes on her Facebook page that the Democrats’ health care reform package would result in a government “death panel” that would kill her baby, Trig. Her child was born with Down Syndrome. Palin writes: “Americans delve into the disturbing details of the nationalized health care plan that the current administration is rushing through Congress, our collective jaw is dropping, and we’re saying not just no, but hell no!… And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s ‘death panel’ so his bureaucrats can decide, based on a subjective judgment of their ‘level of productivity in society,’ whether they are worthy of health care. Such a system is downright evil.” Palin also commends Representative Michele Bachmann (R-MN) for warning the nation about President Obama’s “Orwellian” health care adviser: “Rep. Michele Bachmann highlighted the Orwellian thinking of the president’s health care advisor, Dr. Ezekiel Emanuel, the brother of the White House chief of staff [Rahm Emanuel], in a floor speech to the House of Representatives. I commend her for being a voice for the most precious members of our society, our children and our seniors.” [TPMDC, 8/7/2009; Time, 8/8/2009]Inspired by Debunked Claims from Industry Lobbyist - Palin’s warning about government “death panels” is inspired by debunked warnings from industry lobbyist Betsy McCaughey and a variety of Republican lawmakers and conservative talk show hosts about the reform proposals’ implicit agenda to kill older Americans faster (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, and July 31, 2009 - August 12, 2009). Politico’s Ben Smith writes: “As nonpartisan sources note, the [proposal] deals with medical practitioners helping individuals prepare living wills, powers of attorney, and the like. It’s a long ways from there to a ‘death panel’ where bureaucrats decide who lives or dies.” [Politico, 8/7/2009]Countering Palin's Assertions - Progressive MSNBC host Rachel Maddow says of Palin’s assertions: “There is no Obama death panel. There’s no plan to kill old people. There’s no plan to kill off any people who aren’t productive enough. There’s no plan to kill off any of Sarah Palin’s children. And if we were actually talking about health care instead of waddling through this free-floating morass of factless partisan rage and corporate opportunism, it would occur to someone to notice that the provision being considered by Congress that has Sarah Palin ranting about Obama death panels and the death of her own children was introduced by Republican Senator Johnny Isakson of Georgia (see August 10, 2009). And it’s not about killing old people. It’s about making it easier for old people to create living wills. A similar provision was introduced by another Republican senator, Susan Collins of Maine. This is a Republican idea.” [MSNBC, 8/10/2009] Days later, Senator Lisa Murkowski (R-AK) tells an audience: “It does us no good to incite fear in people by saying that there’s these end-of-life provisions, these death panels. Quite honestly, I’m so offended at that terminology because it absolutely isn’t [in the bill]. There is no reason to gin up fear in the American public by saying things that are not included in the bill.… There are things that are in this bill that are bad enough that we don’t need to be making things up.” [Anchorage Daily News, 8/11/2009]

Former health insurance executive Wendell Potter (see July 10, 2009), who formerly headed the PR division at Cigna, says that the skyrocketing profits of health care corporations and their executives are directly driving the industry’s opposition to health care reform. According to filings with the Securities and Exchange Commission, the profits of the US’s 10 largest health insurance companies rose 428 percent between 2000 and 2007. In 2000, those 10 companies made a combined profit of $2.4 billion. In 2007, those numbers had risen to $12.9 billion. During that seven-year period, the number of Americans without health insurance rose 19 percent. The CEOs of those 10 firms made an average of $11.9 million in 2007 alone. MSNBC’s Rachel Maddow notes that the health insurance industry “bankrolled efforts to kill the last effort at health care reform” in 1994 (see Mid-January - February 4, 1994). In an interview with Maddow, Potter blames the insurance industry for much of the recent spate of “town hall” disruptions that have helped derail debate over health care reform (see June 30, 2009, July 6, 2009, July 25, 2009, July 27, 2009, July 27, 2009, July 31, 2009, August 1, 2009, August 1, 2009, August 2, 2009, August 3, 2009, August 3, 2009, August 3, 2009, August 3, 2009, August 4, 2009, August 4, 2009, August 5, 2009, August 5, 2009, August 6, 2009, August 6, 2009, August 6-8, 2009, August 8, 2009, and August 10, 2009) “and a lot of the deception that’s going on in terms of disinformation that many Americans apparently are believing.” Potter goes on to note that health insurance firms are making tremendous profits on the steady erosion of paid premiums going to fund medical claims. In 1993, the industry paid out roughly 95 percent of the premiums they took in to claims. In 2007, that number had dropped to 80 percent. Insurance firms also routinely “kick sick people off the rolls when they do get sick or when people get injured.… [A]nd also, they’re paying fewer claims.” The health insurance industry is dead set against the so-called “public option,” Potter says, for the simple reason that a publicly run alternative to private insurance would cost its members profits. [MSNBC, 8/11/2009]

Eric Boehlert. [Source: Simon & Schuster]Eric Boehlert, an author and editor of the progressive news watchdog organization Media Matters, writes that, in his eyes, the media is ignoring the biggest “political story of the year”: “the unhinged radical-right response to [President] Obama’s inauguration and the naked attempt to dehumanize and delegitimize him through a nonstop smear campaign,” which he says is sponsored by the Republican Party and its conservative supporters. “The misguided movement breaks all kinds of taboos in American politics,” Boehlert writes, “as well as in the press, and is redefining our political culture—for the worse. Yet the press continues to play dumb.” Playing the Nazi Card - Boehlert takes as his springboard the relative disinterest the mainstream media shows to the repeated accusations that Obama and/or Congressional Democrats are Nazis, or Nazi sympathizers, or have Nazi-like goals and ideals (see July 24, 2009, July 28, 2009, August 4, 2009, August 4, 2009, August 6, 2009, August 6, 2009, August 6, 2009, August 7, 2009, and August 10-11, 2009), as well as the virtually unreported use of Nazi symbols and rhetoric at anti-health care protests (see July 25, 2009, August 1, 2009, August 4, 2009, and August 8, 2009). Boehlert notes that in January 2004, the liberal advocacy organization MoveOn received weeks of negative publicity and media attention when it briefly posted two amateur video clips on its Web site submitted as part of a contest for 30-second Internet advertisements against the policies of the Bush administration. The organization removed the clips within hours and apologized for posting them, but was berated for weeks over the ads. Now, Boehlert notes, Rush Limbaugh and other prominent conservative spokespersons routinely use accusations of Nazism in their rhetorical attacks on Obama and Democrats, with virtually no acknowledgement from the press. Boehlert writes: “Despite the fact that Limbaugh has not apologized for his comments—unlike MoveOn in 2004—and is continuing to compare the Obama White House and the Democratic Party with Nazis, many in the media don’t consider it newsworthy and haven’t condemned it. And more important, journalists don’t show any signs of believing that the episode tells us anything about the radically unhinged nature of the right-wing media in this country today.” Apparently, he writes, most media analysts just consider Limbaugh’s extreme rhetoric a case of “Rush being Rush.” But, he asks, if Limbaugh is going to be considered the de facto leader of conservative thought in America, why isn’t he being challenged on his use of what Boehlert calls “his radical and outrageous rhetoric.… He went to a place that previously was considered unconscionable and unpardonable by the press.… Why isn’t Limbaugh uniformly condemned for his words?” Accusations of Racism, Racist Pronouncements - And Limbaugh is merely one of many. Fox News commentator Glenn Beck recently accused Obama of being a “racist” and having a “deep-seated hatred of white people” (see July 28-29, 2009), and outside of the small number of progressive/liberal hosts on MSNBC and a few scattered notations in the press, the accusation was virtually ignored. “At the [Washington] Post, which obsesses over the intersection of the media and politics,” Boehlert writes, “the jaw-dropping attack by Fox News’s superstar host wasn’t considered newsworthy. That’s correct: Two of the most popular and powerful conservative voices in America have recently called out Obama as a Nazi and a racist.” Legitimizing Extremism - Boehlert assigns part of the blame to journalists being “spooked by decades’ worth of ‘liberal media bias’ attacks” that drive them to “refuse to connect the glaringly obvious dots on display.” The extreme rhetorical attacks dovetail with what he calls “the town hall mini-mobs that are wreaking havoc across the country” and “the bizarre birther conspiracy theory” that insists Obama is not a US citizen, but some sort of “plant” from Kenya brought to America to bring down American democracy. “The three right-wing phenomena are all related,” he writes, “and they all revolve around a runaway hatred of Obama (as well as the federal government), and they’re all being fueled by the [conservative media operation], especially Fox News and Limbaugh, both of which no longer recognize common decency, let alone journalistic standards. Yet instead of putting Limbaugh on the receiving end of well-deserved scrutiny and scorn, rather than turning his comments into a political firestorm, the press plays dumb and actually goes out of its way to legitimize the worst offenders of the GOP’s hate brigade.” Boehlert condemns ABC News for inviting conservative blogger and columnist Michelle Malkin to take part in a discussion of health care reform “with Pulitzer Prize-winning writers.” Malkin, he writes, is a prime member of the “hate brigade,” helping push the increasingly angry and violent mob confrontations as well as exhorting readers to believe that the Democrats want to exterminate the elderly (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 7, 2009, and August 10, 2009). The New Yorker recently praised Michael Savage, who routinely attacks women, gays, liberals, and minorities with the worst rhetorical excess (see January 10, 2008, February 1, 2008, February 21, 2008, March 13, 2008, April 3, 2008, June 6, 2008, June 6, 2008, August 25, 2008, October 8-10, 2008, October 21, 2008, October 22, 2008, November 10, 2008, and November 18, 2008), calling him “fun” and “addictive.” Comparing the Statistics - Boehlert notes that in January 2004, the Indianapolis Star published five letters to the editor about the MoveOn controversy. To date, it has not published a single letter about Limbaugh’s Nazi accusations towards Obama or Democrats. In January 2004, 28 of the nation’s largest newspapers published a total of 54 stories, articles, or letters about the MoveOn controversy. To date, that group has published a combined total of six stories about Limbaugh’s Nazi allegations. No paper has printed more than one story on the topic. In January 2004, the MoveOn-Nazi story garnered 300 percent more airtime on CNN than the Limbaugh-Nazi story has received. [Media Matters, 8/11/2009]

Progressive MSNBC host Rachel Maddow worries on the air about the possibility of physical violence, and perhaps even political assassinations, being perpetrated as a result of the escalating violent rhetoric surrounding the health care reform debate. In recent days, at least one Democratic lawmaker has been threatened with death (see August 11, 2009), an African-American congressman has been vilified with swastikas and racial slurs (see August 11, 2009 and August 12, 2009), and guns have been brought both openly and surreptitiously to town halls (see August 5, 2009), some with President Obama in attendance (see August 11, 2009). Maddow tells her listeners: “[O]pponents of health care reform have chosen to fight at this time with force and with threats of force. Not just fringe talk show hosts, but members of Congress telling their constituents that Barack Obama is like Hitler; members of the United States senate telling their constituents that they are right to be afraid, that health care reform really is a plot to kill the elderly (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, and August 11, 2009). Corporate funded conservative PR operations promoting those lines of attack and then telling their activists to go put the fear of God into members of Congress (see August 6, 2009). Are we now operating in a political environment which is not just politics as usual, which is not just a rowdy debate? Has enough kerosene been poured on the flames that the possibility of violence—even assassination—is being posited as a real political tactic in the United States? It’s not a rhetorical question. It’s not even a question about rhetoric. Because there are people in this country—people in the health care field, in fact—who have faced the actual threat of assassination as a political tactic (see May 31, 2009).… As the anti-health reform protestors flirt with the same exultation of violence, that same excuses and purported justifications of violence, that echo in the extreme anti-abortion movement in this country, it is worth remembering that the possibility of American politics turning to violence and terrorism—at the fringe—is not all theoretical.” Maddow’s guest, abortion provider Dr. Warren Hern, himself a target of political assassins, tells her: “They have—the anti-abortion movement decided, more than 15 years ago, to use political assassination as a tactic, as a method of not only political expression but a way of organizing their followers and getting support and that’s what they’ve been doing. They’ve been assassinating doctors. And the question I have pointed out when they get through assassinating abortion doctors: who’s next?… [I]t’s very clear that there’s been a progression of violence increasingly toward individuals. And this is one of the frightening trends. And so, we have to be very concerned because the violent and the aggressive rhetoric and action or statements lead to more violent action and to assassination.” [MSNBC, 8/13/2009]

Betsy McCaughey is interviewed by Jon Stewart of ‘The Daily Show.’ [Source: Media Matters]Health care reform opponent Betsy McCaughey (see February 9, 2009, July 16, 2009, July 23, 2009, and July 23-24, 2009) appears on Comedy Central’s satirical news/comedy broadcast, The Daily Show. Host Jon Stewart devotes twice the usual amount of air time to interviewing McCaughey, and even then the interview is not broadcast in its entirety; Comedy Central posts the entire interview on its Web site. Stewart’s main interview tactic is to challenge McCaughey to prove one claim or another, such as her assertion that the health care reform legislation pending in the House would mandate “death panels” or “end-of-life” review committees; McCaughey then tries and fails to find language in the bill itself, and Stewart chastises her for spreading falsehoods. Late in the interview, Stewart calls McCaughey’s rhetoric “hyperbolic” and “dangerous.” [Comedy Central, 8/20/2009; Comedy Central, 8/20/2009; Media Matters, 8/21/2009; Huffington Post, 8/21/2009] He concludes by telling her, “I like you—but I don’t understand how your brain works.” [Salon, 8/21/2009] In an analysis of the interview, The Atlantic’s James Fallows, who lambasted McCaughey’s 1994 arguments against the Clinton administration’s health care reform efforts (see Mid-January - February 4, 1994), says he realizes after watching the interview that “I have been far too soft on Betsy McCaughey. Even when conferring on her the title of ‘most destructive effect on public discourse by a single person’ for the 1990s. She is way less responsible and tethered to the world of ‘normal’ facts and discourse than I had imagined.” Fallows writes that McCaughey succeeds as well as she does in the interview by ignoring Stewart’s points and rebuttals, and echoing her assertions even after Stewart effectively rebuts or mocks them. [Atlantic Monthly, 8/21/2009] Days later, McCaughey will be removed from her position as a director of Cantel Medical Corporation, in part apparently due to her performance on Stewart’s show (see August 20-21, 2009).

Newsweek publishes an extensive article detailing what it calls “the five biggest lies in the health care debate.” Despite the title, the article actually debunks seven. The government will have electronic access to your bank accounts and steal citizens’ money (see (July 30, 2009) and After). The bill passed by the House Ways and Means Committee indeed calls for electronic fund transfers, but only from insurers to doctors and other providers. Patients are not involved in such transactions. You’ll have no choice in what health benefits you receive. This story seems to originate from a blog, Flecks of Life, which features a picture of President Obama made up as the Joker from the Batman films. The House bill provides for a “health care exchange,” including a list of private insurers and a single government plan, allowing people without health insurance to choose from the list. The government will prevent insurers from refusing clients with “preexisting conditions,” and require them to offer at least minimum coverage. However, Newsweek observes, “The requirements will be floors, not ceilings, however, in that the feds will have no say in how generous private insurance can be.” No chemo for older Medicare patients. Newsweek calls this a “vicious” rumor coming from the so-called “deather” camp (see November 23, 2008, January 27, 2009, February 9, 2009, February 11, 2009, February 18, 2009, May 13, 2009, June 24, 2009, June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23, 2009, July 23, 2009, July 23-24, 2009, July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 6, 2009, August 7, 2009, August 10, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, August 11, 2009, August 12, 2009, August 12, 2009, August 12, 2009, August 13, 2009, August 12-13, 2009, August 13, 2009, August 15, 2009, August 18, 2009, and August 23-24, 2009). The claim is that Medicare will refuse cancer patients over 70 years of age anything other than end-of-life counseling, including chemotherapy and other life-extending treatments. The claim, Newsweek says, “has zero basis in fact. It’s just a vicious form of the rationing scare.” [H]ealth-care reform will be financed through $500 billion in Medicare cuts. Again, nothing in the House bill or anything being considered in the Senate exists to back this claim. There are proposed decreases to increases in future Medicare funding, essentially reducing Medicare expenditures from the forecast of $803 billion by 2019. $560 billion would be removed from future Medicare increases over the next 10 years, and would not come from funds slated to provide actual care to seniors. And the House bill proposes increasing Medicare funding by $340 billion over the next 10 years. According to Medicare expert Tricia Newman of the Kaiser Family Foundation, the money would pay for office visits, eliminate copays and deductibles, and close the so-called “donut hole” in Medicare drug benefits. Illegal immigrants will get free health insurance. While a 1986 law allows illegal immigrants to receive free emergency care through emergency room clinics like everyone else in America, the House bill does not give anyone free health care. Illegal immigrants will not be eligible for subsidies to buy health insurance. In July, the House defeated a Republican-sponsored amendment to require anyone enrolling in a public plan or seeking subsidies to purchase health insurance to provide proof of citizenship. After the amemdment was defeated, Representative Steve King (R-IA) began spreading the false claims that since proof of citizenship would not be mandated, illegal immigrants would indeed be able to obtain government-funded health insurance. Newsweek writes: “Can we say that none of the estimated 11.9 million illegal immigrants will ever wangle insurance subsidies through identity fraud, pretending to be a citizen? You can’t prove a negative, but experts say that Medicare—the closest thing to the proposals in the House bill—has no such problem.” Death panels will decide who lives. So-called “death panels” form the heart of the “deather” claims that the government would mandate “end of life counseling sessions” that would encourage elderly and seriously ill patients to allow themselves to die. Newsweek calls the claim a “lie” that “springs from a provision in the House bill to have Medicare cover optional counseling on end-of-life care for any senior who requests it. This means that any patient, terminally ill or not, can request a special consultation with his or her physician about ventilators, feeding tubes, and other measures. Thus the House bill expands Medicare coverage, but without forcing anyone into end-of-life counseling.” The government will set doctors’ wages. This is another claim that seems to have originated on the Flecks of Life blog. Like the earlier claim, it is false. The House bill, according to Newsweek, “says that physicians who choose to accept patients in the public insurance plan would receive five percent more than Medicare pays for a given service, [but] doctors can refuse to accept such patients, and, even if they participate in a public plan, they are not salaried employees of it any more than your doctor today is an employee of, say, Aetna.” Amitabh Chandra of Harvard University says, “Nobody is saying we want the doctors working for the government; that’s completely false.” [Newsweek, 8/29/2009]

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